Professor Fletcher, a Jamaican and past student of Hastings Primary and Cornwall College, holds the Bachelor of Science degree in Natural Sciences and went on to obtain the Bachelor of Medicine Bachelor of Surgery degree as well as the Doctor of Medicine in Obstetrics and Gynaecology from The University of the West Indies.
He joined the staff of the UWI in 1989 as a Temporary Lecturer in Obstetrics and Gynaecology, was appointed Lecturer in 1991 and promoted to Senior Lecturer in 1997.
Professor Fletcher has undertaken a full role in the undergraduate and postgraduate training programme, contributing to the continuing professional development of the students. He has imparted much of his academic knowledge through teaching undergraduates, emphasizing the importance of clinical skills, and through the supervision of medical postgraduate students, focusing on teaching, management of gynaecological oncology as well as general Gynaecology and Obstetrics. He is the immediate past dean of the Faculty of Medical Science UWI
Horace Fletcher has produced two book chapters and 52 publications as well as a steady output of publications in a wide spectrum of international Obstetrics and Gynaecological journals as well as the regional West Indian Medical Journal.
Professor Fletcher has served as Consultant to the Ministry of Health, the World Health Organization and as Pan American Health Organization Consultant to the Government of Belize to assist in the development of an obstetric protocol manual.
He holds the Fellowship of the Royal College of Obstetrics and Gynaecology, London, and is a Fellow of the American College of Obstetrics and Gynaeology. In addition, he has served as Vice President and President of the Grabham Society (The Association of Gynaecologists in Jamaica), is a Founding Member of the National Cancer Institute of Jamaica and served as Vice Chair and Chair of the American College of Obstetricians and Gynaecologists West Indies Section. He has also been an Assistant Editor of the West Indian Medical Journal.